Etiketa - součást našeho profesionálního chování

prof. MUDr. Vladimír Mihál CSc

Pediatr. praxi. 2009;10(1):3  

Diseases caused by „atypical microbes“

prof. MUDr. Jiří Havlík DrSc

Pediatr. praxi. 2009;10(1):8-11  

Atypical microbes include tiny bacteria that are mostly very difficult to culture. Some of them infest the whole human population without symptoms from childhood, but they may also cause manifest diseases of varying severity affecting numerous organs, most commonly the airways. All age groups may become ill, however, adolescents and adults are affected more frequently. Urinary tract infections occur increasingly with initiation of sexual activity. Legionelloses and tularaemias almost exclusively affect adult individuals.

Cinsiderate decongestants

doc. MUDr. Vít Petrů CSc

Pediatr. praxi. 2009;10(1):12-15  

Allergic rhinitis is a disease characterized by the classic symptoms of rhinorrhea, obstruction of the nasal passage, sneezing and itching, all occuring in temporal relationship to allergen exposure. Treatment options include antihistamines, leukotriene antagonists, nasal corticosteroids, anticholinergics and decongestants. The use of nasal irrigation is currently recomended as an adjunctive treatment modality in many other sinonasal diseases. Recent evidence suggests that nasal irrigation with hypertonic saline is useful, tolerable, inexpensive and effective.

Infant colics - state of art

MUDr. Pavel Frühauf CSc

Pediatr. praxi. 2009;10(1):16-18  

Purulent meningitis in childhood

MUDr. Jiří Havránek

Pediatr. praxi. 2009;10(1):20-24  

Purulent meningitis (PM) is a very serious acute bacterial disease in childhood. After successful introduction of vaccination against Haemophilus influenzae, the most commonly seen pathogenic bacteria are Streptococcus pneumoniae and Neisseria meningitidis. PM is almost always a systemic disease which spreads from bloodstream into meninges and cerebrospinal fluid. Infants and children with purulent meningitis have acute onset of the illness with fever, headache with or without stiff neck, nausea, vomiting and photophobia. Some children may present with altered consciousness or seizures. The diagnosis is based on performig lumbar puncture and on...

Safety of seven-valent pneumococcal conjugate vaccine

doc. MUDr. Roman Chlíbek Ph.D

Pediatr. praxi. 2009;10(1):26-30  

The vaccination priorities include vaccination of children against pneumococcal disease in children under 2 years of age. There is still the only registered 7-valent conjugate pneumococcal vaccine (PCV7). Its reactogenicity and safety was assessed in a number of preand post-licensure studies. The most common reactions are soreness at the site of vaccination and fever, which may be higher in case of simultaneous vaccination with other childhood vaccines. In 2009, should be PCV7 vaccination included in the vaccination schedule in the Czech Republic (CR). There is an importance of the long-term monitoring of the safety of the vaccine after its introduction...

HPV vaccination update - new reccommendation

MUDr. Tomáš Fait Ph.D

Pediatr. praxi. 2009;10(1):31-34  

A vaccination against human papillomaviruses is primary prevention for malignant lesions joined with HPV 16 and 18 especially for cervical cancer. With the addition of cross protection against other HPV types it could cover more than 80% of cervical cancers. The usage of quadrivalent vaccine have added value in possibility to safe also against genital warts and other lesions induced by HPV 6 and 11. The best results are reached by vaccination of HPV-naive persons which have not come into contact with this most frequent sexually transmitted infection. Vaccination is useful also in older women.

Nummular eczema resistant to treatment

MUDr. Kateřina Macháčková

Pediatr. praxi. 2009;10(1):35-36  

The author reports a case of refractory dermatosis in a 4-year-old boy which was primarily considered to be nummular eczema. Following an application of a local corticosteroid external medication (hydrocortisone butyrate), there occurred a minor improvement and discolouration in the site; however, shortly after the drug had been discontinued, exacerbation and expansion occurred. Subsequent administration of antifungal drugs (clotrimazole crm, KMnO4 bath) failed to exert any significant therapeutic effect. Mycological examination by culture revealed fungal aetiopathogenesis (M. canis) and confirmed the diagnosis of tinea incognito which had been...

Cat-scratch disease

MUDr. Monika Fojtíková

Pediatr. praxi. 2009;10(1):38-39  

Persistent regional lymphadenopathy is commonly encountered in children seen by the general paediatrician. Cat-scratch disease (CSD), also referred to as felinosis in the literature, is one of the possible causes and occurs far more frequently than it is diagnosed. CSD most commonly occurs after a cat scratch or bite followed by the appearance of an inoculation lesion which is often overlooked; subsequently, subacute regional lymphadenopathy develops which lasts for several months and may be accompanied by systemic symptoms. The present case report describes a case with a typical course of the disease without organ complications based on which...

Primary intraspinal tumour as a rare cause of torticollis in a toddler

MUDr. Miroslava Muchová

Pediatr. praxi. 2009;10(1):40-42  

We describe a case report of a boy, which had torticollis at the age of 14 months and in which a wrong diagnosis of vertebrogenous disease was established. The right diagnosis of instraspinal tumour was made at the age of 18 months. The late diagnosis could have high consequences. Primary instraspinal tumour of cervical spine is a very rare cause of torticollis. We show a differential diagnosis of possible causes of torticollis in toddlers.

How incorret history and diagnosis participated on late removal of aspirated foreign body?

prof. MUDr. Vladimír Mihál CSc

Pediatr. praxi. 2009;10(1):43-45  

The authors present a case report of a 2.5-old toddler with aspiration of foreign body. Correct diagnosis was obtained on 7th day since onset of initial respiratory symptoms. Flexibile fiberoptic bronchoscopy demonstrated nearly complete occlusion of right main bronchus with a half of peanut. Clinical status of patient had evidently improved since the nut was removed; a control chest radiography showed symmetric transparency of lung tissue. The reasons of late diagnosis are discussed.

Kojenec s nejasným febrilním stavem a vysokými zánětlivými markery

MUDr. Josef Gut

Pediatr. praxi. 2009;10(1):42  

Jaká je Vaše diagnóza? Odpovědi

Pediatr. praxi. 2009;10(1):51-52  

Alcohol - problem by children and adolescents

doc. MUDr. Michal Hladík Ph.D

Pediatr. praxi. 2009;10(1):48-50  

Alcohol abuse in Czech children and adolescents has became a problem of public concern – our children are on the 4th place in alcohol drinking in Europe. Not only the recognition of acute alcohol intoxication in children represent a duties for paediatric hospitals, but first of all the long-term problem solution (family engagement, made public interest) is crucial for psychological assesment and treatment planning.

Česká pediatrická společnost v roce 2009

prof. MUDr. Jan Janda CSc

Pediatr. praxi. 2009;10(1):56-57  

Pruritus - modifikovaná forma neuropatické bolesti dráždící ke škrábání jako časný příznak manifestace či progrese nádorového onemocnění

prof. MUDr. Jaroslav Štěrba Ph.D

Pediatr. praxi. 2009;10(1):46  

Kongenitální melanocytární névus

prof. MUDr. Vladimír Mihál CSc

Pediatr. praxi. 2009;10(1):47  

Když mluvím o smrti, vždy myslím na život…

prof. MUDr. Vladimír Mihál CSc, Mgr. Alena Horká

Pediatr. praxi. 2009;10(1):53-55  

Test 1/09

Pediatr. praxi. 2009;10(1):58